if we have a conservative take, adopt have to fix the gaps, lets see what the environment look likes in two years. it's really grim but this is where the see the cost of everything we've been talking about politically. >> to that point, sally, that ben makes about red state america versus blue state america tim eagan has a piece and says the south is dooming itself. we could see a mason dixon liven of health care, on one side insured north, a place where health care is affordable and available to people. on the other side uninsured south. health care to the poor would amount to treating charity cases in hospital emergency rooms. >> he's exactly right. what people don't realize is not being able to get timely emergency room treatment because these hospitals are shutting down means people have worse and worse health outcomes down the road. that has consequences for the economy, people's ability. >> the safety net. >> the whole thing starts to crumble. i hear about red states blue states but a deeper hypocrisy. republicans have said they like devolution. they said we're going to cut sub